Organization
TRANSITIONAL LIFESTYLES COMMUNITY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH ANN BROOKS LMSW, ACSW,CAAC,QSAP (DIRECTOR)
(810) 908-7320
Entity
Organization
Contact information
Practice address
115 W 5TH AVE, SUITE 1, FLINT, MI 48503-2472
(810) 908-7320
(810) 877-6453
Mailing address
PO BOX 310365, FLINT, MI 48531-0365
(810) 908-7320
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
6801082709
MI
324500000X
Substance Abuse Rehabilitation Facility
Primary
250346
MI
Other
Enumeration date
10/10/2006
Last updated
01/19/2011
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